scholarly journals Il diritto alla salute e l’autodeterminazione del paziente tra guarigione effettiva e pericoloso sviluppo della tecnologia

2015 ◽  
Vol 64 (3) ◽  
Author(s):  
Nicola Posteraro

In questo lavoro, si propone uno studio del diritto alla salute quale diritto fondamentale della persona. Anzitutto, si analizza l’evoluzione interpretativa subita dall’articolo 32 della Costituzione italiana e si cerca di capire, da un lato, come tale diritto fosse considerato prima d’oggi; dall’altro, come sia considerato attualmente, invece, anche alla luce delle decisioni della giurisprudenza. Lo scopo è quello di rilevare le connessioni esistenti tra il diritto alla salute, il principio della libertà personale e i limiti apparentemente imposti dall’ordinamento italiano. Si analizzano, perciò, i rapporti esistenti tra esso e l’interesse della collettività, oltre che tra esso e l’articolo 5 del codice civile (il quale ultimo sembrerebbe condizionarlo quando vieta, all’individuo, la piena disposizione del proprio corpo). Si considerano, poi, i problemi creati dalla esasperata indipendenza del singolo, il quale si rivolge alla medicina, oggi, spesso, solo con lo scopo di realizzare i propri desideri. Quali i riflessi sul piano etico e giuridico? Questa situazione è pericolosa? Se sì, in quali casi? Quali le conseguenze sul corpo del paziente? C’è crisi dell’identità? ---------- This paper proposes a study of the right to health as a fundamental human right. Firstly, it analyzes the evolution of interpretation of health of the Article 32 of the Italian Constitution and it tries to comprehend how this right was considered in the past and how it is regarded in the present in light of jurisdictional decisions. Secondly, it aims to detect the links between the principle of personal freedom and the limits apparently imposed by the Italian system. We analyze, therefore, the relationship between the right to health and the public interest, as well as the relationship between this right and Article 5 of the Civil Code (which would seem to limit the individual when prohibiting the full exercise of its body). It considers, then, the problems created by an exasperated independence of the individual, which is often targeted by medicine today, only in order to achieve their desires. What are the reflections on the ethical and juridical plans? Is this situation dangerous? If yes, in what cases? What are the consequences on the patient’s body? Is there a crisis of identity?

2018 ◽  
pp. 24-42
Author(s):  
MARÍA DALLI

In 1948, the General Assembly of the United Nations adopted the first international text recognising universal human rights for all; the Universal Declaration of Human Rights. Article 25 recognises the right to an adequate standard of living, which includes the right to health and medical care. On the occasion of the 70th anniversary of the Declaration, this article presents an overview of the main developments that have been made towards understanding the content and implications of the right to health, as well as an analysis of some specific advancements that aim to facilitate the enforcement thereof. These include: a) the implication of private entities as responsible for right to health obligations; b) the Universal Health Coverage goal, proposed by the World Health Organization and included as one of the Sustainable Development Goals; and c) the individual complaints mechanism introduced by the Optional Protocol to the International Covenant on Economic, Social and Cultural Rights (adopted on the 10th December 2008, 60 years after the UDHR).


Author(s):  
Daniel J. Hemel

This chapter suggests a human rights–based justification for national basic income schemes, contrasting it with justifications based on welfarist principles or notions of entitlement to a share of the global commons. Starting from the premise that a state is a collective enterprise that generates a surplus, it contends that any human being who is an “obedient” member of that state has a right to some share of the surplus. That right—which arises from the relationship between the individual and the state, and is independent of need—could justify the entitlement to a basic income. Such income should be provided in cash, not in kind, because the latter risks depriving the individual of the enjoyment of his share of the surplus—in effect, forcing him to forfeit or transfer it to others if he does not use the public goods or services provided by the state.


1987 ◽  
Vol 16 (2) ◽  
pp. 127-133 ◽  
Author(s):  
Barry Wisdom ◽  
Dennis Patzig

The success of merit systems is closely linked to the establishment of key expectations in the minds of employees concerning the relationship between pay and performance. Results of a national survey suggest that different expectations are being formed in the public versus the private sectors. The role organizational climate plays in this finding and in the individual employee's decision making process regarding effort expended at work is modeled and discussed. Suggestions for fostering merit success are also addressed.


Author(s):  
Ana Karolyne Araújo de Sousa ◽  
Laurena Silva Pinto ◽  
Mônica Teresa Costa Sousa

O trabalho tem por objetivo principal analisar decisões judiciais do TJMA considerando demandas individuais relacionadas à efetivação e garantia do direito à saúde, a partir da oferta de tratamento médico/ medicamento específico por parte do Estado. Analisa-se a fundamentação das decisões e atuação do Poder Judiciário ante a defesa justificada como "reserva do possível" por parte do ente público. Com base na teoria da reserva do possível, o Estado defende-se alegando ser impossível a prestação de serviços específicos considerando ou a generalidade da política pública de saúde ou questões financeiras. Por sua vez, o Judiciário se manifesta ora considerando a pretensão individual (posicionamento mais comum) ora afastando essa possibilidade. Tomando por base decisão do Supremo Tribunal Federal, determinaram-se padrões mínimos para que as decisões sejam capazes de atender as demandas específicas sem que haja comprometimento da atividade generalizada por parte do Estado. A escolha das decisões foi realizada por meio de pesquisa junto ao sítio oficial do Tribunal de Justiça do Estado do Maranhão considerando os termos "saúde - Estado - reserva do possível". As decisões analisadas referem-se aos últimos cinco anos. Já as decisões de tribunais superiores foram analisadas tomando-se como base os mesmos termos de procura bem como a repercussão da decisão STA 175, de 2009, cujo relator foi o Min. Gilmar Mendes.Palavras-chave: Direito à saúde. Reserva do possível. Poder Judiciário. Estado.HEALTH LAW AND JUDICIARY: decisions in the Court of Maranhão StateAbstract: The study aims to at analyzing the judgments TJMA considering individual claims related to the execution and guaranteeing the right to health, from the offer of medical treatment / medication specific for the state. Analyze the reasons for decisions and actions of the judiciary before the defense justified as "possible reserves" by the public entity. Based on the theory of reserve for the state defends itself saying it is impossible to provide specific services or considering the general public health policy or financial matters. In turn, the judiciary is manifested sometimes claim considering the individual (most common position) now that possibility away. Based on the decision of the Supreme Court, it was determined minimum standards for decisions to be able to meet the specific demands without compromising the widespread activity by the state. The choice of the decisions was conducted through survey to the official Court of the State of Maranhão considering the terms "health - state - reserve the possible." The decisions analyzed refer to the last five years. Since the decisions of higher courts were analyzed taking as base the same search terms as  well as the impact of the decision STA 175, 2009, which was the rapporteur Justice Gilmar Mendes.Keywords: Right to health. Possible Reservation. The Judiciary Power. State.EL PODER JUDICIAL Y EL DERECHO A LA SALUD: decisiones en la esfera del Tribunal de Justicia del estado de MaranhãoResumen: El trabajo tiene como objetivo analizar decisiones en juicios del TJMA considerando reclamaciones individuales relacionadas con la ejecución y garantía del derecho a la salud, a partir de la oferta de tratamientomédico / medicamento específico por el estado. Analizar las razones de las decisiones y acciones del poder judicial ante defensas justificadas como "reservas posibles" por la entidad pública. Sobre la base de la teoría de la reserva posible, el Estado se defiende diciendo que es imposible proporcionar servicios específicos, considerando la política general de salud pública o los asuntos financieros. Por su parte, el Poder Judicial se manifiesta a veces considerando la posición individual (posición más común) y otras veces desconsiderándola. Sobre la base de la decisión de la Corte Suprema de Justicia, se definieron las normas mínimas para que las decisiones sean capaces de satisfacer las demandas específicas sin comprometer la actividad generalizada por el estado. La elección de las decisiones se llevó a cabo mediante una encuesta oficial a la Corte del Estado de Maranhão, teniendo en cuenta los términos "salud - estado -. Reserva de lo posible" Las decisiones analizadas se refieren a los últimos cinco años. Por otro lado, las decisiones de los tribunales superiores fueron analizadas tomando como base los mismos términos de búsqueda, así como el impacto de la decisión STA 175 de 2009, relatada por el Ministro de la Justicia Gilmar Mendes.Palabras clave: Derecho a la salud. Reserva posible. Poder Judicial. Estado.


Author(s):  
Alejandro Cerón

The relationship between public health practice and the fulfilment of the right to health is often assumed to be synergistic. With the goal of understanding how exactly this relationship happens, I studied the everyday practice of epidemiology in Guatemala, seeking to understand how it shapes and is shaped by the notion of health as a human right. Here I present findings from my ethnographic investigation of the Guatemalan Centro Nacional de Epidemiología (National Epidemiology Center), created in 2004 with the explicit mission of contributing to fulfilling the right to health for the inhabitants of Guatemala. While the relationship between epidemiological practice and the right to health is influenced by the specific configuration of local and transnational flows (bureaucratic, economic, ideological, political, scientific, social, and symbolic), epidemiologists also play an important mediating role. There are four intermediate social mechanisms that shape the relevance of epidemiological practice to fulfilling the right to health in Guatemala. Given how the country’s economic and social inequalities translate into enormous health inequities, an epidemiological practice committed to the right to health should aspire to transform, rather than reproduce, the social hierarchies underlying such inequalities. The mechanisms I identified shape how epidemiological practice contributes to the reproduction or transformation of such hierarchies. These mechanisms shape what I call ‘neocolonial epidemiology’, and include: institutional chaos, disciplinary conformism, global health international relations, and social relations at the national level.


2011 ◽  
pp. 232-269
Author(s):  
Mauricio Torres Tovar

A finales del año 1993 Colombia estableció a través de la Ley 100 una política de Estado en salud que tiene como base el aseguramiento individual a un mercado de servicios de atención a la enfermedad. El desarrollo de este sistema de salud ha generado impactos negativos sobre la garantía del derecho a la salud de la población, razón por lo cual se fue estableciendo un campo de contienda política por el control de la salud en el país. L articulo describe y analiza las acciones sociales colectivas por el derecho a la salud realizadas después de la expedición de la Ley 100 y hasta el 2010, teniendo como estudio de caso la ciudad de Bogotá. Se hace una caracterización de lo que fueron estas acciones sociales colectivas tanto contenciosas como no contenciosas, permitiendo evidenciar que, producto de la realización de estas acciones colectivas se pudo avanzar en la construcción de una identidad colectiva alrededor de la comprensión de la salud como derecho humano y se configuro un movimiento social capaz de ganar la contienda política y establecer las decisiones necesarias para transformación el campo de la salud a favor de los sectores sociales que demandan la garantía del derecho a la salud. Collective Social Action for the Right to Health, Bogotá, 1994-2010 Through the law 100 Colombia established at the end of 1993 a health policy that is based on the individual access of services market of the care disease. The development of this health system has resulted in negative impacts on the guaranteed right to health for the population, and it was establishing a field of political struggle for control of health in the country. The article describes and analyzes the collective social actions for the right to health made after the expedition of law 100 until 2010, taking Bogota as a case study. A characterization of these collective social actions, both contentious and non-contentious, shows how it has advanced in the construction of a collective identity around the understanding of health as a human right. The article also pinpoints how social movement for the right to health was configured, but without producing a political subject capabla of winning in the political contest, and establishing the necessary decisions for transforming the health field for the social sectors that demand the guarantee of the right to health. Keywords: Colombia, Right to Health, Collective Action, Political Struggle, Health System. 


2021 ◽  
Vol 74 (11) ◽  
pp. 3072-3076
Author(s):  
Olena M. Batyhina ◽  
Bogdan V. Derevyanko ◽  
Tetiana V. Khailova

The aim: To investigate the theoretical and legal framework governing the relevant areas of food security, ensuring healthy, adequate and safe nutrition. To consider human rights to food security as a basis for health care, a basis for the realization of the right to health and life. Materials and methods: The study analyzes and uses the normative legal acts of national legislation, international acts, data from international organizations and the results of scientific work of scientists. With the help of scientific methods, medical and legal point of view, the problems of ensuring food security are identified as a guarantee of the realization of the right to human health. Сonclusions: Food security and nutrition are central to the individual and fundamental factor to the whole of society in respect of human right to health. An adequate level of food security must be ensured by individual governments and the international community through the development, approval or implementation of an appropriate regulatory framework, as well as through the establishment of a political and institutional framework.


Author(s):  
Thana C de Campos

Modern conceptions of justice ignore the relationship between duty-bearers and rights-holders, focusing mainly on the claimability of individual rights. This is particularly the case in medical law discussions. I argue that a deontological approach to medical law could not only create a less individualistic discussion, but also increase the probability of the realization of rights—particularly the human right to health. To demonstrate the applicability of deontological ethics in medical law, I first define and explain the modern conception of justice. To critique this modern conception of justice, I examine Kant’s and O’Neill’s deontological arguments regarding rights and duties. Then, building on Tasioulas’s deontological argument, I develop a theoretical understanding of the minimum-core-obligations that societies must fulfil if the right to health is to be feasibly claimable. I conclude by contrasting the practical implications of using either the modern conception of justice or the deontological conception of justice to interpret the minimum-core-obligations in the field of medical law.


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Gagah Yaumiyya Riyoprakoso ◽  
AM Hasan Ali ◽  
Fitriyani Zein

This study is based on the legal responsibility of the assessment of public appraisal reports they make in land procurement activities for development in the public interest. Public assessment is obliged to always be accountable for their assessment. The type of research found in this thesis is a type of normative legal research with the right-hand of the statue approach and case approach. Normative legal research is a study that provides systematic explanation of rules governing a certain legal category, analyzing the relationship between regulations explaining areas of difficulty and possibly predicting future development. . After conducting research, researchers found that one of the causes that made the dispute was a lack of communication conducted between the Government and the landlord. In deliberation which should be the place where the parties find the meeting point between the parties on the magnitude of the damages that will be given, in the field is often used only for the delivery of the assessment of the compensation that has been done.


2019 ◽  
Vol 76 (3-4) ◽  
pp. 180-188
Author(s):  
Bianca Nicla Romano

Art. 24 of the 1948 Declaration of Human Rights recognises and protects the right of the individual to rest and leisure. This right has to be fully exercised without negative consequences on the right to work and the remuneration. Tourism can be considered one of the best ways of rest and leisure because it allows to enrich the personality of the individual. Even after the reform of the Title V this area is no longer covered by the Italian Constitution, the Italian legal system protects and guarantees it as a real right, so as to get to recognize its existence and the consequent compensation of the so-called “ruined holiday damage”. This kind of damage has not a patrimonial nature, but a moral one, and the Tourist-Traveler can claim for it when he has not been able to fully enjoy his holiday - the essential fulcrum of tourism - intended as an opportunity for leisure and/or rest, essential rights of the individual.


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